5QX-42004-84024
4 vaccinations
3 coded responses
33 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 245 / VA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Moderna
-
2021-03-30
Registered in v-safe
- 2021-03-30
- 2021-04-03
-
2021-04-04
Dose 2 — Moderna
- 2021-04-04
- 2021-04-05
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-04-07
-
2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: White blood cell count increased — Feeling: GoodFree text: I had yearly lab work done on April 2 This was before my second vaccine but after the first one. I have not been sick or had any infections that I know of but my white blood count was slightly elevated. Not sure if the vaccine had anything to do with this but I have never had elevated white blood count before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-18
- 2021-04-25
- 2021-05-02
- 2021-05-09
- 2021-05-16
- 2021-07-04
-
2021-10-03
Survey response — 6 months, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: Return of alpha galMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Dose 3 — Moderna
- 2022-04-04
-
2022-06-02
Dose 4 — Moderna
- 2022-06-02
-
2022-06-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-06-04
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
- 2022-06-06
- 2022-06-07
- 2022-06-08
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-06-30
- 2022-07-07
- 2022-07-14
- 2022-09-01
-
2022-12-01
Survey response — 6 months, dose 4MedDRA: Arthralgia, Cough, Fall, Influenza virus test negative, Musculoskeletal chest pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Had a bad cough for 2 weeks. Was tested for Covid and flu and both were negative. Fell and hurt hip and ribs. Nothing broken.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-01
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-12-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-04 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-06-02 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I had yearly lab work done on April 2 This was before my second vaccine but after the first one. I have not been sick or had any infections that I know of but my white blood count was slightly elevated. Not sure if the vaccine had anything to do with this but I have never had elevated white blood count before.
Release 9 — 6 months, dose 2
Symptoms: Return of alpha gal
Release 12 — 6 months, dose 4
Symptoms: Had a bad cough for 2 weeks. Was tested for Covid and flu and both were negative. Fell and hurt hip and ribs. Nothing broken.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Musculoskeletal chest pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | White blood cell count increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release